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Home My WebLink AboutSWG2026-00080 - SWG Application / Design - 4/15/2026 MASON 415 N 6TH STREET,SHELTON, ,WAE 98584 • COUNTY SHELTON:360 427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2026-00080 APPLICANT Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 OWNER ESTEBAN-MARTIN ET VIR LUCIA Phone: Address: SEBASTIAN GASPAR BELFAIR, WA 98528 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck,WA 98380 Site Address: 480 NE MISSION CREEK RD Primary Parcel Number: 223364200041 Permit Description: New 2bd gravity trench with local waiver for reserve drainfield Permit Submitted Date: 03/20/2026 Permit Issued Date: 04/15/2026 Issued By: Rhonda Thompson Current Permit Fees Paid: $570.00 (additidnal fees may be required upon installation of system). Permit Expiration Date: 04/01/2029 (based on date of inspection) Permit Conditions: I Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 2 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 5 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 7 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. 8 The minimum buffer/setback from the stream is 165'No clearing or tree removal in the stream buffer. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. OFFICIAL USE ONLY DATERECEIYED: •rm•`7. COUNTY 3 O Oa.� CA s,h�•'',r ii AMOUNT RECENED BY: W � Public Health & Human Services ® N Environmental Health 360427-9670,ext.400 or 360-275-4467,ext.400 SWG Q® C 415 N.6th Street-Shelton,WA 98584 `� _ Qr O O a C,, ON-SITE SEWAGE SYSTEM APPLICATION > APPLICANT PHONE m M Sebastian Gaspar 360-328-6466 MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE PO BOX 138, Belfair Wa 98528 00 SITE ADDRESS-STREET,CITY,ZIP CODE 480 NE Mission Creek Rd, Belfair WA 98528 I N NAME OF DESIGNER PHONE Jim Zlmny 360*-516-7287 ® I� NAME OF INSTALLER PHONE � . < I PERMIT TYPE(select one) DRINKING WATER SOURCE y N I W RESIDENTIAL OSS n COMMUNITY OSS fn COMMERCIAL OSS PRIVATE INDIVIDUAL WELL D PRIVATE L Z TYPE OF WORK(select one) PUBLIC WATER SYSTEM * NEW CONSTRUCTION/UPGRADES El REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR SUBMITTALS ❑SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE W EEl DESIGN FORM(REQUIRED) Q SEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE I W LOT CREATED AFTE 1112025? tl: .. WAIVER(S)QF APPLICABLE) 2 2.5 acres S NO 0 DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) beginning in Belfair take Northshore rd west for 3.1 miles to Mission Creek rd and take-rts, Follow .5 miles to address on mail box and pink ribbons on there. ` Test holes are flagged and marked. o I e Ir.c SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) o VOLUNTARY O MAINTENANCE/PUMPING O BUILDING PERMIT❑HOME SALE❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS • ' . 1 SOIL CODES: (O I , RECORD DRAVNNG AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT Cr CLAY E!•EXTREMELY Re ROOTS REQUIRED FOR FINAL APPROVAL. INSPECTOR SIGNATURE DATE APPLICATIOEXPIRATION DATE APPLICATION APPROVED/ISSUED B DATE L / ______ THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised:01/09/2026 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 6 4 2 0 0 0 4 1 A design will be reviewed when 3 conies of each of the following are submitted: d Completed design form that has been signed and dated. Scaled layout sketch,including all applicable items on checklist. `'Scaled plot plan,including all applicable items on checklist. "Cross-section sketch, including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.JIlaxinutin paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG �iJ�,(nQ(DC)� Designer's Name: Jim Zimny Applicant's Name: Sebastian Gaspar Designer's Phone Number: 360 516-7287 Mailing Address: PO BOX 138 Designer's Address: 7178 Windflower PI NW Belfair WA 98528 City State Zip Seabeck WA 98380 City State Zip Designer's Email APDdesigns@icioud.com DESIGN PARAMETERS Treatment Device ❑Glendon O Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑Recirculating Filter O ATU 0 Other Treatment Level (check all that apply): ❑A ❑B ❑C ❑BLI ❑BL2 ❑BL3 1l E ❑N Drainfield Type R'Gravity ❑Pressure M"Trench 0 Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 3034 Daily Flow: Operating Capacity 180 gpd Length 25 ft Daily Flow:Design Flow 240 gpd Diameter 4 in Septic Tank Capacity(working) 1000 gal Number 4 Receiving Soil Type(1-6) 3 Separation 5' CTC ft Receiving Soil Appl.Rate 0.8 gpd/ft2 Orifices Required Primary Area 300 ft2 Total Number of Orifices NA Designed Primary Area 300 ft2 Diameter in Designed Reserve Area 300 ft2 Spacing in Trench/Bed Width 3 ft Manifold Trench/Bed Length 100 ft Schedul a NA Elevation Measurements Lengt 20z� n Y ft Original Drainfield Area Slope 3 LICENS, ES!GNER P % Di ,. in New Slope.If Altered 3 % Preferred m niOd onfiguration used? O Yes O No Depth of Excavation Up-slope 2 in Transport Pipe from Original Grade sown-slope 20 in Schedule/Class 3034 Designed Vertical Separation 36 in Length 5' ft Gravel-based Drainfield Required? O Yes P1 No Diameter in Pump Required? O Yes P'No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day NA Diff.in Elevation Between Pump&Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal Uppermost Orifice O Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head gpm ❑ Timer 0 Elapse Meter O Event Counter Calculated Total Pressure Head ft If Timer: Pump onA P Pulyd ' Comments APR 15 2026 MASON COUNT`(ENVIRONMENTAL HEALTH DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 3 6 4 2 0 0 0 4 1 Permit Number: SWG Q se - DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch ET Test hole locations V Drainfield orientation and layout Reference depth from original grade: 1e Soil logs V Trench/bed dimensions and V Septic tank tT Property lines critical distances within layout V Drainfield cover er Existing and proposed wells l D-Box/Valve box locations Reference depth from original grade within 100 ft of property a Septic tank/pump chamber and restrictive strata: 9 Measurements to cuts, banks,and locations b7f Laterals,trench bed,top and surface water and critical areas V Observation port location bottom iV Location and orientation of 9 Clean-out location ❑ Curtain drain collector curtain drain and all absorption V Manifold placement O Sand augmentation components ❑ Orifice placement Other cross-section detail: Location and dimension of V Observation ports/clean-outs primary system and reserve area � Lateral placement with distance to edge of bed Other Information V Buildings O Audible/visual alarm referenced Yes No V Direction of slope indicator V Scale of drawing shown on scale O V'Design staked out ST Waterlines bar ❑ ❑ Recorded Notices attached Roads,easements,driveways, Elevation benchmark and relative O O Waiver(s)attached parking elevations of sys e compo eats O O Pump curve attached V North arrow and scale drawing O O Evaluation of failure shown on scale bar Non-residential justification t 9'� O O Waste strength ❑ ❑ Flow The undersigned designer must be notified by fnsiier t tt'elo₹installation QPYes ❑ No Signature of igne Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be.in compliance with state and local on-site regulations: eftsJ2 Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped "Approved"by Mason County Public Health. 2 -M ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: r7 V/ ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. .An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Revised:6/11/2025 County Stamp TH#1 0-57" Brown med gravlley loamy sand Type 3 --d U TH#2 W / o Type 3" Brown med gravlley loamy sand ------ N yp - /: z Z esigner amp TH#3 0-23" Brown med gravlley loamy sand ; . �� Vextremely gravelly med sand ' o �` /, Type 1 i o ` / LICENS C S.ONER t 1 Area! of Detail •/336' . 1 ` Designer Info: -- - - - - - - - - - - --- �� Jim Zimny I , 1 APD l o el 53' e148' e 7178 WindflowerPL NW 5 Sea beck,, 11111 iii Drainfield for 'ro* &parkin •2 500 Mission Creek RD � s APDdesigns@icloud.com _ _ `` ♦` /ate /, 20' 4 be�lrgo e `� '>/.s /. ; Applicant Info: i i 75'well radius \\ � / �" Seabastian Gaspar �, 'S'S. 'S.`. ; 480 NE Mission Creek R i � \ �� '4�e11 rah Belfair WA 98528 / —ExTsitng OSS be abandoned \ �_ e155' 1 / j! N 1 � � I Date: O i i 1 3/19/2026 r 1 r r / ! /r LEGEND/Datum NAD83 Page •�\ \ / ® Bench Mark i' j . /Soil Log \ `\ / — / Scale f Property Line � Power Line 1 » 50' / --- Waterline — / \ No A survey Advantage Perc & Design Iirre y-Rcsonab ee-30 Years of LoCai Experience Construction Notes for Gravity 2 Bedroom System: Equal Distribution w/graveless chambers (Rock and pipe may be substituted) Install 4—25' Laterals w/6 hole d-box. Install on 5'foot centers. Install 20" deep on low side of trench maintain 36" of vertical separation Install level and along contours. Install in dry weather only. Use 1000-Gallon septic System designed for typical residential waste strength sewage only. System designed for 240 Gallons Per Day \i APR 15 2026 MASON COUNTY ENVIRONMENTAL HEALTH RET Jnmc ,II Zhnny LASED DE'i NER ?v~I�t •2� Advantage Perc&design ® APDdesigns@icloud.com (360) 516-7287 County Stamp esigner tamp / 1 973 � Jn Ilcr tmrry LICE, D DESIGNER Area of Detail 1336' el 185' za Designer Info: T a. 0 Jim Zimn3r APD -S-�'- - - 1350' e 178' 7178WindflowrerPLNW Seabeck,WA 98380 I. APDdesigns@ic1oud.com O I— / o g Applicant Info: N = O °C LU Seabastian Gas par 480 NE Mission Creek R — Belfair WA 98528 ®.. #223364200041 a. U z O (!) LEGEND Date: ® Bench Mark 3/17/2026 Soil Log Page Property Line - - Power line --- Water line Scale O Well 1" = 200' Typical Trench Profile Typical D box and Riser Assembly County Stamp 4"Clean out with removable cap Flow " Min Sandy Cover 4' 3034 a locking riser lid � 'Max Tr nch Depth sp d levers I I "Min ITrench Depth ___ J' 3L. Designer F" Vertical Separation 4' 3034 aQ Restricn a Layer or water tabre .> T022DDJ3 �. Eunice:Ilu Z1!G '( � w r_ic�rasEo r,�s:cner? o Jim Zimny Advantage Perc&Design Not to Scale 0 7178 Windflower PI NW Not to Scale Q Seabeck,WA 98380 ME (360)516-7287 Applicant Info 1 /V� C AN Screw on fitting 4"Obsevation Port Sandy Cover 11% W/ removable cap Material ? i'Y" ..,..,...�,,. .. ..,.. .. . ,. ., 90 degree sweep pg / 2017yfl33 r JcrtrvaQi ' 'K l4CEN$Ep DESIGNER GNER Parcel Info Graveless Chamber ( , Z2.7J3(D42oco4l Typical Side View gravity Gravelss chamber W/ Observation /Clean Port Date: Not To Scale age o of W - —J -- ________ J � ry its �� iaiat 11 TN$&Y 100O h a Lic ' DE:.IGtr�.R �qs� qp N�o�N CIS y%l y��lH